Mr. P.X. age 45, had been swimming and was sitting on the beach when a friend co
ID: 97995 • Letter: M
Question
Mr. P.X. age 45, had been swimming and was sitting on the beach when a friend commented on a dark reddish-black "pimple" with a rough surface on it on his upper back. Mr. P.X. said he had numerous moles on his body and it was not of concern. However, later he thought about the comment and saw his physician, who thought the lesion was suspicious and should be checked. The border and surface of the mass were irregular, and it appeared to be quite thick. A similar small lesion was located nearby. The lesion was diagnosed as a superficial spreading malignant melanoma, and surgery was scheduled. Surgery revealed that the melanoma had penetrated through the dermis and had spread to the regional lymph nodes. 1. Explain the factors that make this lesion suspicious for cancer. 2. List the possible predisposing factors in this patient. 3. Predict the prognosis and the reasons for it in this case.Explanation / Answer
As it is spread in the regional lymph nodes, this may be the stage of regional metastasis where chances of survival are approximately 25-70 %.
The primary reason for this condition is exposure of Ultraviolet radiations especially in case of people having lower skin pigmentation. People having poor immunity and large number of moles on body as in this case, are prone to the condition of malignant melanoma.
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